Active NPI
Vaniqua Hines
- Social Worker
- Greensboro, NC
National Provider Identifier
1124595533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P013004
- Practice address
- 3405 W Wendover Ave Ste a
Greensboro, NC 27407-1525 - Phone
- (336) 294-1349
- Fax
- (336) 292-6711
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P013004 | NC | Primary |
Addresses
Primary practice location
3405 W Wendover Ave Ste a
Greensboro, NC 27407-1525
Mailing address
3405 W Wendover Ave Ste a
Greensboro, NC 27407-1525
Phone (336) 294-1349
Other practice location 1
3409 W Wendover Ave Ste I
Greensboro, NC 27407-1579
Phone (336) 897-2375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013004 | NC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeys Counseling Center Inc. | Current | Accepting new patients |
Locations
3405 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 235-2427
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1982907838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567814400000",
"number": "1124595533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 W WENDOVER AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071525",
"telephone_number": "336-294-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 W WENDOVER AVE STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071525",
"telephone_number": "336-294-1349",
"fax_number": "336-292-6711"
}
],
"practiceLocations": [
{
"address_1": "3409 W Wendover Ave Ste I",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274071579",
"country_code": "US",
"telephone_number": "336-897-2375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINES",
"first_name": "VANIQUA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2019-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P013004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.